| NPI | 1891713616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 00027464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 9074935) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-10-01 |